MUCO OR HYDROCOLPOS: -
Pathophysiology: There is imperforate hymen or a transverse vaginal septum just above the hymen. Due to excess estrogen stimulation acquired in utero from the mother, there is increased secretion of mucus or watery discharge from the cervical and uterine glands.
If a large quantity of fluid is collected in the vagina, it produces hydro or mucocolpos. It may rarely be big enough to produce an abdominal swelling.
This is rarely met beyond 1 year of age because the uterine and vaginal transudation is not produced in sufficient quantity beyond that age. Later on, the candidate may be the subject of hematocolpos → hematometra.
CLINICAL FEATURES: - There are usually some urinary problems to the extent of retention of urine. Variable degrees of pain in lower abdomen are a constant feature. Abdominal examination reveals a lower abdominal lump. Distended bladder makes the lump apparently bigger. Vulval inspection reveals a tense bulge of the obstructing membrane which looks shiny. Rectal examination confirms the vaginal bulge.
TREATMENT: Cruciate incision is enough to drain the pent up mucus. Antibiotic is given. Head end is to be raised.
Ovarian enlargement: After the withdrawal of maternal estrogen, there is transient elevation of gonadotropins in neonates. This influence of elevated gonadotropins can stimulate to produce ovarian follicular cysts. These usually regress spontaneously. As such, the cysts need no surgery unless complicated.
Ectopic anus: The anal canal may open either in the vestibule or in the vagina.
Some of the common Homeopathic medicines that can be used are: -
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